Active NPI
Milene Rosa Maden
- Occupational Therapy Assistant
- Tampa, FL
National Provider Identifier
1679217657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 15656
- Practice address
- 10009 N Brooks St
Tampa, FL 33612-6951 - Phone
- (813) 585-8210
- NPI assigned
- Apr 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 15656 | FL | Primary |
Addresses
Primary practice location
10009 N Brooks St
Tampa, FL 33612-6951
Mailing address
10009 N Brooks St
Tampa, FL 33612-6951
Phone (813) 585-8210
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Casamba | Select Rehabilitation Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15656 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1679217657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10009 N BROOKS ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336126951",
"telephone_number": "813-585-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10009 N BROOKS ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336126951",
"telephone_number": "813-585-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADEN",
"first_name": "MILENE",
"middle_name": "ROSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "15656",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Casamba",
"affiliation": "Y",
"affiliationName": "Select Rehabilitation Inc",
"address_1": "10009 N Brooks St",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336126951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.